Tracy I Jackson
ExpiredIllinois license 30*****06
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 30*****06
- Status
- Expired (Not Renewed)
- First issued
- March 6, 2017
- Expired
- September 30, 2020
- License holder
- Tracy I Jackson
- Entity type
- Individual
Classifications
- Adv Practice Nurse Control Sub Nursing
More from the license record
- Delegated controlled substance schedules
- III IV V
- Current term began
- 03/01/2018
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Contact
Waukegan, IL 60085
Lake County